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NPI Code Detail

MEDICARE: THERAPEUTIC ASSOCIATES INC

MEDICARE: THERAPEUTIC ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1912456054
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPEUTIC ASSOCIATES INC
Provider Business Mailing Address
First Line : 16083 SW UPPER BOONES FERRY RD
Second Line : SUITE 300
City : TIGARD
State : OR
Zip : 97224-7736
Country : US
Telephone Number : 800-219-8835
Fax Number : 503-639-9699
Provider Business Practice Location Address
First Line : 502 E BOONE AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99258-1774
Country : US
Telephone Number : 509-313-4267
Fax Number : 509-313-5789
Authorized Official
Title or Position : DIR PAYER & PROVIDER RELATIONS
Name : MELISSA HAMILTON
Credential :
Telephone Number : 503-443-6156
Provider Enumeration Date : 09/30/2016
Last Update Date : 05/23/2023

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Directions to “THERAPEUTIC ASSOCIATES INC ” Practice Location

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